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Tuberculosis (TB)


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Reported Tuberculosis in the United States, 2020					minus icon
                Table of Contents
			National DataState & Local DataRisk FactorsDemographicsTB Treatment and Case OutcomesDrug-Resistant TBGenotype ClustersEstimates of Recent Transmission					Related Pages
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State & Local DataOn This Page
			HighlightsData TablesHighlightsReporting areas include:
50 U.S. states, New York City, and the District of Columbia (DC) unless otherwise specified,
Five U.S. territories (American Samoa, Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands) and
Three independent countries that are in compacts of free association with the United States (Federated States of Micronesia, Republic of the Marshall Islands, and Republic of Palau).Majority of TB Cases Occur in Four States, United States, 2020resize iconView LargerCloseMajority of TB Cases Occur in Four States, United States, 2020download iconDownload Image[PNG]
As in past years, four U.S. states combined reported more than half of all U.S. TB cases in 2020:
California (23.8%),
Texas (12.3%),
New York, including New York City (8.4%), and
Florida (5.7%).In 2020, the reporting areas with TB incidence rates (per 100,000 persons) above the national incidence rate (per 100,000 persons) included:
Alaska; 7.9,
Hawaii; 6.5,
New York City; 5.4,
California; 4.3,
Texas; 3.0,
New Jersey; 2.8,
District of Columbia; 2.7, and
Maryland; 2.5.The incidence rates (per 100,000 persons) among the U.S. territories and freely associated states were:
Republic of the Marshall Islands; 252.5
Commonwealth of the Northern Mariana Islands; 75.2,
Federated States of Micronesia; 73.7,
Republic of Palau; 50.0,
Guam; 33.8,
American Samoa; 6.3,
U.S. Virgin Islands; 3.8, and
Puerto Rico; 0.8.*Source: TB by Reporting Areas: 2020 and 2019*
Learn more in the Executive Commentary.Data Tables
Open All Close AllState & Local DataTB by Reporting Areas: 2020 and 2019
TB Ranked and Grouped by Number of Cases: Reporting Areas, 2020 and 2019
TB by Pulmonary and Extrapulmonary Disease: Reporting Areas, 2020
Primary Reason for TB Evaluation: Reporting Areas, 2020
TB by Metropolitan Statistical Areas with ≥500,000 Population, 2020 and 2019State & Local DemographicsTB Among Non-U.S.–Born Persons by Years in the United States: 1993–2020
TB by Age Group: Reporting Areas, 2020
TB by Hispanic Ethnicity and Race: Reporting Areas, 2020
TB by Origin of Birth: United States and the District of Columbia, 2020
TB by Age Group: Metropolitan Statistical Areas with ≥500,000 Population, 2020
TB by Race/Ethnicity: Metropolitan Statistical Areas with ≥500,000 Population, 2020
TB by Origin of Birth: Metropolitan Statistical Areas with ≥500,000 Population, 2020State & Local Risk FactorsTB Risk Factors: Reporting Areas, 2020
TB in Correctional Facilities, Ages ≥15 Years: Reporting Areas, 2020
TB in Persons Experiencing Homelessness, Ages ≥15 Years: Reporting Areas, 2020
TB in Long–Term Care Facilities, Ages ≥15 Years: Reporting Areas, 2020
TB Among Injection Drug Users, Ages ≥15 Years: Reporting Areas, 2020
TB Among Noninjection Drug Users, Ages ≥15 Years: Reporting Areas, 2020
TB Among Persons with Excess Alcohol Use, Ages ≥15 Years: Reporting Areas, 2020
TB by Primary Occupation, Ages ≥15 Years: Reporting Areas, 2020
TB by HIV Status: Reporting Areas, 2020State & Local Drug-ResistanceDrug Resistance: Reporting Areas, 2020State & Local Treatment and Case OutcomesTB by Initial Drug Regimen: Reporting Areas, 2020
Directly Observed Therapy (DOT): Reporting Areas, 2018
Reason TB Therapy Was Stopped: Reporting Areas, 2018
Reason TB Therapy Was Extended: Reporting Areas, 2018
Completion of TB Therapy (COT): Reporting Areas, 2018
Persons Completing Therapy for Whom Therapy Was Indicated for ≤1 Year: Reporting Areas, 2014–2018State & Local GenotypingTB Genotyping Surveillance Coverage: Reporting Areas, 2020State & Local Estimates of Recent TransmissionEstimates of Recent Transmission Narrative
TB Estimated to be Attributable to Recent Transmission and Extensive Recent Transmission: Reporting Areas, 2019–2020
TB Estimated to be Attributed to Recent Transmission: Counties with >5 Percent Estimated Extensive Recent Transmission, 2019–2020Top of Page
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						Page last reviewed:  October 25, 2021					Content source: 	Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention homeTuberculosisBasic TB Factsplus iconHow TB SpreadsLatent TB Infection and TB DiseaseSigns & SymptomsTB Risk FactorsExposure to TBTB PreventionVaccinesTB & HIV CoinfectionTB and DiabetesTB TermsPersonal StoriesTesting & Diagnosisplus iconWho Should be TestedTesting for TB InfectionTesting in BCG-Vaccinated PersonsTB Screening and Testing of Health Care PersonnelTesting During PregnancyDiagnosing latent TB infection and TB diseaseTreatmentplus iconDeciding When to Treat Latent TB InfectionTreatment Regimens for Latent TB Infection (LTBI)Treatment for TB DiseaseAdverse EventsTB Treatment of Persons Living with HIVTB Treatment and PregnancyTB Treatment for ChildrenFrequently Asked QuestionsDrug-Resistant TBResearchplus iconTB Epidemiologic Studies Consortiumplus iconResearch ProjectsPublicationsTB Trials Consortiumplus iconStudy DescriptionsBackgroundBehavioral & Social Science ResearchHealth Care Settingsplus iconTB Infection Control in Health Care SettingsResources for TB Screening and Testing of Health Care Personnelplus iconFrequently Asked QuestionsTB in Specific Populationsplus iconHealth DisparitiesAsian PersonsBlack or African American PersonsHispanic or Latino PersonsChildrenPregnancyCorrectional FacilitiesPeople Experiencing HomelessnessInternational TravelersLaboratory Informationplus iconDrug Susceptibility TestingFalse-Positive Investigation ToolkitInterim Laboratory Biosafety Guidance for XDR  tuberculosis strainsModel Performance Evaluation Program (MPEP)Rapid Molecular Testing to Detect Drug-Resistant TB in the USplus iconExecutive SummaryIntroductionBackground on Tests for Molecular Detection of DRGeneral Considerations and Principles for a Molecular DR Testing ServicePossible Scenarios and Scope of Testing for a Molecular DR Testing ServiceResearch NeedsGeneral Recommendations of the Expert PanelCommunication Plan for the ReportRecommendationsReferencesPanel Members and CDC ParticipantsAppendix 1Appendix 2Appendix 3The Uses of Nucleic Acid Amplification Tests for the Diagnosis of TBplus iconGeneral ConsiderationsGeneral Recommendations of the Expert PanelRecommendations to ACET, CDC, DTBEData & Statisticsplus iconTB Incidence in the United StatesReported TB in the US, 2022 Surveillance Reportplus iconNational DataReporting Area DataRisk FactorsDemographicsTB Treatment and Case OutcomesDrug-Resistant TBMolecular SurveillanceTuberculosis in the United States, 2022 (Slide Set)Archived Surveillance Reports and Slide Sets2021 State and City ReportArchived State and City ReportsProfessional Resources & Toolsplus iconTools for Healthcare ProvidersResources for TB Programsplus iconStrengthening Civil Surgeons’ Capacity to Improve LTBI Surveillance and Outcomes Among Status AdjustersNotice of Funding Opportunity (NOFO)Program EvaluationTB Centers of ExcellenceTB Elimination AllianceTB Genotypingplus iconConventional TB GenotypingWhole Genome SequencingTB GIMSAnalytic ToolsLatent Tuberculosis Infection ResourcesPublications & Productsplus iconPatient and Public MaterialsFact SheetsGuidelinesplus iconControl & EliminationDrug-Resistant TBInfection Control & PreventionLaboratory & GenotypingTB & HIVTB in Specific PopulationsTesting & DiagnosisTreatmentVaccines & ImmunizationsArchived TB GuidelinesGuides & Toolkitsplus iconAggregate ReportsCDC TB Surveillance TrainingCore CurriculumEffective TB Interviewing for Contact InvestigationEthnographic GuidesFalse-Positive Investigation ToolkitForging Partnerships to Eliminate TuberculosisGuide to Application of GenotypingLTBI: A Guide for Primary Health Care ProvidersMantoux Tuberculin Skin Testing ProductsReport of Verified Case of Tuberculosis (RVCT)Self-Study ModulesTB Contact Investigation Interviewing Skills CourseTB eDOT ToolkitUnderstanding the TB Cohort Review ProcessNewslettersplus iconTB Notes, No. 4, 2023TB Notes, No. 3, 2023TB Notes. No. 2, 2023TB Notes. No. 1, 2023TB Notes, No. 4, 2022TB Notes, No. 3, 2022TB Notes, No. 2, 2022TB Notes, No. 1, 2022TB Notes, No. 4, 2021TB Notes, No. 3, 2021TB Notes, No. 2, 2021TB Notes, No. 1, 2021Pamphlets, Brochures, Bookletsplus iconQuestions and AnswersPatient Education SeriesTuberculosis - Get the FactsTuberculosis - The Connection between TB and HIV12-Dose Regimen for Latent TB Infection-Patient Education BrochurePostersplus iconMantoux Tuberculin Skin Test Wall ChartWorld TB DayThink TBStop TBTake on TBReports & Articlesplus iconDTBE Authored Journal ArticlesTuberculosis Laboratory Aggregate ReportsSlide Setsplus iconIntroduction to TuberculosisEpidemiology of Tuberculosis Among Non-U.S.​–Born Persons in the United States, 1993–2016Self-Study Modules on Tuberculosis, 1-5 Slide SetsThe Tuberculosis (TB) in Correctional Settingsplus iconFacilitator GuideIntroduction to TB GenotypingEpidemiology of Tuberculosis in Correctional Facilities, United States, 1993-2017Prevention and Control of Tuberculosis in Correctional and Detention FacilitiesGuidelines for Preventing the Transmission of M. TB in Health care SettingsInvestigation of Contacts of Persons with Infectious TBEpidemiology of Pediatric Tuberculosis in the United StatesTargeted Tuberculosis Testing and Treatment of Latent Tuberculosis InfectionElectronic Tools & ResourcesWeb-Based Courses & Webinarsplus iconTB 101 for Health Care WorkersContent SyndicationInfographicsplus iconSocial Media GraphicsCustomizable Take on TB Infographic with InstructionsEventsWorld TB Dayplus iconU.S. TB ChampionsHistoryFeaturesplus iconTB Risk FactorsTreating Latent TB Infection with Short-Course RegimensWorld Tuberculosis (TB) Day 2021World Tuberculosis (TB) Day 2020Linksplus iconState TB Control OfficesAbout Usplus iconMission Statement and Activitiesplus iconDTBE Strategic PlanNational TB Program ObjectivesOrganization ChartAdvisory Groupsplus iconFederal TB Task Force To receive email updates about this page, enter your email address: Email Address			What's this?				Submit


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